Tucker & Gailis Dental , LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15-000001304 Issued in OR

Legal business name

TUCKER & GAILIS DENTAL , LLC

Practice address

2586 Clover St
Klamath Falls, OR 97601-1115

Phone

(541) 884-9555

Fax

(541) 882-7423

NPI assigned

Jun 11, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Theresa K Tucker, DDSNPI 1417155425

Title

Doctor/ Owner

Phone

(541) 884-9555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Kay Tucker, D.D.S.

  • Dentist
  • Klamath Falls, OR
  • NPI 1417155425
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1023499324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2586 CLOVER ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011115",
            "telephone_number": "541-884-9555",
            "fax_number": "541-882-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2586 CLOVER ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011115",
            "telephone_number": "541-884-9555",
            "fax_number": "541-882-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER & GAILIS DENTAL , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR/ OWNER",
        "authorized_official_telephone_number": "541-884-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "15-000001304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanda Troxel
• Shelley R Trumbly, R.N.
• Jessica Ann Trump, MSW
• Tilli Marie Trushell
• Andrew Neil Tschernia, PHARMD, RPH
• Milleous Tucker-Doherty
• Barbara Ruth Tucker
• Stephanie Renee Tucker
• Theresa Kay Tucker, D.D.S.
• Edwin Tuhy Jr., O.D.

• General Practice Dentistry in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.